Updated 15 December 2022
We undertook a follow up focused inspection of Rosebrough Dental Practice on 24 November 2022. This inspection was carried out to review in detail the actions taken by the registered provider to improve the quality of care and to confirm that the practice was now meeting legal requirements.
The inspection was led by a CQC inspector who was supported by a specialist dental adviser.
We undertook a comprehensive inspection of Rosebrough Dental Practice on 22 June 2022 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We found the registered provider was not providing well led care and was in breach of regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can read our report of that inspection by selecting the 'all reports' link for Rosebrough Dental Practice on our website www.cqc.org.uk.
When 1 or more of the 5 questions are not met we require the service to make improvements and send us an action plan. We then inspect again after a reasonable interval, focusing on the area where improvement was required.
As part of this inspection we asked:
• Is it well-led?
Our findings were:
Are services well-led?
We found this practice was providing well-led care in accordance with the relevant regulations.
The provider had made improvements in relation to the regulatory breach we found at our inspection on 22 June 2022.
Background
Rosebrough Dental Practice is in Newcastle Upon Tyne and provides NHS and private dental care and treatment for adults and children.
The practice is located on the first floor, accessible only by stairs. It is close to local transport links and car parking spaces are available near the practice.
The dental team includes 2 dentists, 1 practice manager/dental nurse, 1 dental nurse, 1 trainee dental nurse, 3 dental therapists and 1 receptionist. The practice has 3 treatment rooms.
During the inspection we spoke with 1 dentist and the practice manager/dental nurse. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday to Thursday from 9am to 1pm and from 2pm to 5:30pm
Friday from 9am to 1pm and from 2pm to 5pm
There were areas where the provider could make improvements. They should:
- Improve the practice’s sharps procedures to ensure the practice is in compliance with the Health and Safety (Sharp Instruments in Healthcare) Regulations 2013.
- Take action to implement any recommendations in the practice's Legionella risk assessment, taking into account the guidelines issued by the Department of Health in the Health Technical Memorandum 01-05: Decontamination in primary care dental practices, and having regard to The Health and Social Care Act 2008: ‘Code of Practice about the prevention and control of infections and related guidance.’ In particular, ensure the ongoing monitoring protocols are carried out effectively.
- Improve the practice's processes for the control and storage of substances hazardous to health identified by the Control of Substances Hazardous to Health Regulations 2002, to ensure risk assessments are undertaken and the products are stored securely.